Monitoring and Analysis of Hematogenous Occupational Exposure in Medical Staff_West China Medical Journal

Authors：

 TangYan ,  ChenLiping , SunRui , TanMuyang , ZhongYanyu

Department of Hospital Infection Management, the First People's Hospital of Yibin City, Yibin, Sichuan 644000, P. R. China;

Corresponding author：

ChenLiping, Email: 1837639492@qq.com

Keywords：

Occupational exposure; Occupational protection; Blood-borne diseases; Sharp instrument injuries; Medical staff

DOI：

10.7507/1002-0179.201600552

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the risk factors for hematogenous occupational exposure by analyzing hematogenous occupational exposure in medical workers, and discuss countermeasures in order to reduce the occurrence of hematogenous occupational exposure in medical workers. Methods We summarized and analyzed the hematogenous occupational exposure reported by registered medical personnel in the First People's Hospital of Yibin City from January 2012 to December 2014. Results There were 129 cases of hematogenous occupational exposure, and nurses were at high risk of such exposure (65.12%).The exposure occurrence focused in medical personnel with working time shorter than 5 years.The top three high-risk operational procedures were needle injection, puncture, and medical waste disposal; sharp instrument injuries (109 cases, 84.50%) were the main factor leading to hematogenous occupational exposure in medical workers.Sources of exposure were detected and confirmed in 92 cases (71.32%); after testing, 79 cases (61.24%) of infections were confirmed in the source patients with one or more blood-borne pathogens.Through scientific treatment, no infection after hematogenous occupational exposure was detected in the medical workers. Conclusion Monitoring and analysis of hematogenous occupational exposure can facilitate identification of key departments, target population and risk factors, which is important for taking appropriate interventions.

Citation： TangYan, ChenLiping, SunRui, TanMuyang, ZhongYanyu. Monitoring and Analysis of Hematogenous Occupational Exposure in Medical Staff. West China Medical Journal, 2016, 31(12): 2017-2020. doi: 10.7507/1002-0179.201600552 Copy

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1. 胡必杰, 刘荣辉, 陈文森. SIFIC医院感染预防与控制临床实践指引[M].上海:上海科学技术出版社, 2013.
2. 罗伟强, 伍飘雁, 杨忠伟, 等.台山市2010-2012年吸毒人群HIV、梅毒和丙肝感染状况调查分析[J].热带医学杂志, 2012, 12(12):1514-1516.
3. 中华人民共和国卫生部.联合国艾滋病规划署, 世界卫生组织. 2011年中国艾滋病疫情估计[J].中国艾滋病性病, 2012, 18(1):1-5.
4. 张浩军, 张映华, 杨亚红, 等.甘肃省11 358名医务人员锐器伤现状调查[J].中国感染控制杂志, 2014, 13(9):548-551.
5. 中华人民共和国卫生部. GBZ/T 213-2008血源性病原体职业接触防护导则[S]. 2008.
6. 符湘云, 李瑞, 王惠芳, 等.某院医务人员血源性职业暴露的流行病学研究[J].中国感染控制杂志, 2014, 13(2):105-108.
7. 王娟, 曾芹.医务人员职业暴露情况分析及防护措施[J].中国社区医师:医学专业, 2012, 14(4):408.
8. 徐世兰, 吴西亿, 饶莉, 等. 840例医务人员锐器伤现状调查[J].中国循证医学杂志, 2011, 11(6):636-639.
9. 胡欣, 杨柳青, 刘永芳, 等.医务人员锐器伤报告的调查与分析[J].华西医学, 2013, 28(8):1162-1164.
10. 侯艳玲, 马静.医院职业暴露分析及预防[J].华西医学, 2013, 28(2):292-294.
11. 李六亿, 刘玉村.医院感染管理学[M].北京:北京大学医学出版社, 2010.
12. 许慧琼, 潘晓平.医务人员职业防护现状调查及对策分析[J].现代预防医学, 2010, 37(1):29-31, 41.
13. 范珊红, 王线妮, 雷巧玲, 等.锐器伤行为控制的实践与进展[J].中国感染控制杂志, 2013, 12(2):157-160.
14. 钱云, 袁素娥, 李春辉, 等.护理人员采血环节血源性病原体职业暴露监测[J].中国感染控制杂志, 2014, 13(8):490-492.
15. Stringer B, Haines T, Goldsmith CH, et al. Hands-free technique in the operation room:rduction in body fluid exposure and the value of a training video[J]. Public Health Rep. 2009, 124(Suppl):169-179.

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West China Medical Journal

Monitoring and Analysis of Hematogenous Occupational Exposure in Medical Staff

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